摘要
目的评价腹腔镜对小肠肿瘤的临床应用价值。方法回顾性分析2003年9月至2005年12月间经腹腔镜诊断和手术治疗的42例小肠肿瘤患者的临床资料,并对其腹腔镜手术时间、术中失血量、切口长度、术后肛门排气时间、术后住院天数、手术并发症、随访情况进行统计分析。结果全组患者均在腹腔镜下得到明确诊断和手术治疗,其中4例完全在腹腔镜下行小肠肿瘤局部切除；36例在腹腔镜辅助下作部分小肠肠段切除；1例行腹腔镜辅助下右半结肠切除,1例行腹腔镜下的探查和活检。腹腔镜手术时间(73．1±32．9)min,术中失血(20．7±31．2)ml,切口长度为(3．7±1．2)cm,术后肛门排气时间为(2．2±0．8)d,术后住院时间为(8．0±3．1)d。2例(4．8%)患者术后分别出现吻合口糜烂出血和束带粘连性小肠梗阻。术后随访3-30个月,除1例小肠腺癌腹腔内广泛转移外,其他病例均无肿瘤复发。结论腹腔镜不仅能明确小肠肿瘤的诊断,而且对小肠手术具有安全可行、创伤小、恢复快的优点。
Objective To evaluate the clinical use of laparoscopy in diagnosis and surgical treatment in small intestinal tumors. Methods Clinical data of 42 patients with small intestinal tumor undergoing laparoscopic diagnosis and surgical procedure from Sep. 2003 to Dec. 2005 were analyzed retrospectively. The operative time, blood loss, length of incision, time for passage of flatus, post-operative hospital stay and operative complications were evaluated. Results All the patients were diagnosed and treated by laparoscopic procedure successfully, including 4 laparnscopic local resection of the tumors, 36 laparoscopy-assisted partial intestinal resections, 1 right hemicolectomy, and 1 laparnscopic exploration. The mean operative time was （73.1 ±32. 9）min, the mean blood loss was （20.7±31.2）ml, the mean length of incision was （3.7 ± 1.2） cm, the mean time for passage of flatus was （2. 2 ± 0.8） d, and the post-operative hospital stay was （8.0 ±3. 1）d. Postoperative complications occurred in 2 patients （4.8%） including anastomosis bleeding and adhesive intestinal obstruction in one case respectively. Mter follow-up from 3 to 30 months, no recurrent tumor was found except one patient with advanced intestinal carcinoma. Conclusion Laparoscopic exploration can diagnose small intestinal tumors accurately, and laparoscopy-assisted surgical treatment is safe with less trauma and fast recovery.
出处
《中华胃肠外科杂志》
CAS
2006年第5期395-398,共4页
Chinese Journal of Gastrointestinal Surgery
关键词
腹腔镜
小肠肿瘤
诊断
外科手术
Laparoseopes
Small intestinal tumor
Diagnosis
Surgical procedures, operatives
